<div style="float:left; width:50%">
	<h3>I Podaci o proizvođaču poruke</h3>
	
	<input title="...sa ugovora" onClick="deklaracijaImportKomitentData(this,2)" type="button" value="▼" style="border:none; background:none; cursor:pointer; margin-left:62px;" />
	<label class="left" for="dekl_creator_name" style="clear:none; width:auto;">Naziv:</label><input name="dekl_creator_name" type="text" id="dekl_creator_name" value="{{$dekl_creator_name}}" />
	<label class="left" for="dekl_creator_adresa">Adresa:</label><input name="dekl_creator_adresa" type="text" id="dekl_creator_adresa" value="{{$dekl_creator_adresa}}" />
	<fieldset>
		<legend>delatnost:</legend>
		<label class="left" for="dekl_creator_del_id">šifra:</label><input type="text" name="dekl_creator_del_id" id="dekl_creator_del_id" value="{{$dekl_creator_del_id}}" />
		<label class="left" for="dekl_creator_del_name">naziv:</label><input type="text" name="dekl_creator_del_name" id="dekl_creator_del_name" value="{{$dekl_creator_del_name}}" />
	</fieldset>
	<label class="left" for="dekl_creator_matbr">Matični broj:</label><input type="text" name="dekl_creator_matbr" id="dekl_creator_matbr" value="{{$dekl_creator_matbr}}" />
	<fieldset>
		<legend>Odgovorno lice:</legend>
		<label class="left" for="dekl_creator_odg_ime">Ime i prezime:</label><input type="text" name="dekl_creator_odg_ime" id="dekl_creator_odg_ime" value="{{$dekl_creator_resp_name}}" />
		<label class="left" for="dekl_creator_odg_adresa">Adresa:</label><input type="text" name="dekl_creator_odg_adresa" id="dekl_creator_odg_adresa" value="{{$dekl_creator_resp_adresa}}" />
		<label class="left" for="dekl_creator_odg_jmbg">JMBG:</label><input type="text" name="dekl_creator_odg_jmbg" id="dekl_creator_odg_jmbg" value="{{$dekl_creator_resp_jmbg}}" />
		<label class="left" for="dekl_creator_odg_lk">br.LK i mesto:</label><input type="text" name="dekl_creator_odg_lk" id="dekl_creator_odg_lk" value="{{$dekl_creator_resp_lk}}" />
	</fieldset>
</div>
<div style="float:left; width:50%;">
	<h3>
		<a title="Close" href="javascript:void(0)" onClick="this.parentNode.parentNode.parentNode.style.display='none';"><img src="gui/close_12.gif" style="border:none; float:right" /></a>
		II Podaci o oglašivaču
	</h3>
	<input title="...sa ugovora" onClick="deklaracijaImportKomitentData(this,1)" type="button" value="▼" style="border:none; background:none; cursor:pointer; margin-left:62px;" />
	<label class="left" for="dekl_name" style="clear:none; width:auto;">Naziv:</label><input type="text" name="dekl_name" id="dekl_name" value="{{$dekl_owner_name}}" />
	<label class="left" for="dekl_adresa">Adresa:</label><input type="text" name="dekl_adresa" id="dekl_adresa" value="{{$dekl_owner_adresa}}" />
	<fieldset>
		<legend>delatnost:</legend>
		<label class="left" for="dekl_del_id">šifra:</label><input type="text" name="dekl_del_id" id="dekl_del_id" value="{{$dekl_owner_del_id}}" />
		<label class="left" for="dekl_del_name">naziv:</label><input type="text" name="dekl_del_name" id="dekl_del_name" value="{{$dekl_owner_del_name}}" />
	</fieldset>
	<label class="left" for="dekl_matbr">Matični broj:</label><input type="text" name="dekl_matbr" id="dekl_matbr" value="{{$dekl_owner_matbr}}" />
	<fieldset>
		<legend>Odgovorno lice:</legend>
		<label class="left" for="dekl_odg_ime">Ime i prezime:</label><input type="text" name="dekl_odg_ime" id="dekl_odg_ime" value="{{$dekl_owner_resp_name}}" />
		<label class="left" for="dekl_odg_adresa">Adresa:</label><input type="text" name="dekl_odg_adresa" id="dekl_odg_adresa" value="{{$dekl_owner_resp_adresa}}" />
		<label class="left" for="dekl_odg_jmbg">JMBG:</label><input type="text" name="dekl_odg_jmbg" id="dekl_odg_jmbg" value="{{$dekl_owner_resp_jmbg}}" />
		<label class="left" for="dekl_odg_lk">br.LK i mesto:</label><input type="text" name="dekl_odg_lk" id="dekl_odg_lk" value="{{$dekl_owner_resp_lk}}" />
	</fieldset>
</div>
<br clear="all" />
<h3>III Podaci o oglasnoj poruci</h3>
<div style="float:left;">
	<label class="left" for="dekl_msg_tip">tip:</label>
	<select name="dekl_msg_tip" id="dekl_msg_tip" style="width:87px;">
		{{%loop start dmt_id}}
		<option value="{{$dmt_id}}" {{$dmt_selected}}>{{$dmt_name}}</option>
		{{%loop end}}
	</select>
	<label class="left" for="dekl_tel">Telefon:</label><input style="width:81px;" type="text" name="dekl_tel" id="dekl_tel" value="{{$dekl_telefon}}" />
	<label class="left" for="dekl_datum">Datum:</label><input style="width:65px;" type="text" name="dekl_datum" id="dekl_datum" value="{{$dekl_datum}}" /><input type="button" class="datePicker" onClick="displayDatePicker(this.previousSibling.id,this)" />
	<label class="left" for="dekl_mesto">Mesto:</label><input type="text" name="dekl_mesto" id="dekl_mesto" value="{{$dekl_mesto}}" />
</div>
<div style="float:left;" class="second">
	<label class="left" for="dekl_text">Tekst:</label><textarea name="dekl_text" id="dekl_text">{{$dekl_content}}</textarea>
	<label class="left" for="dekl_potpis">Izjavu dao:</label><input type="text" name="dekl_potpis" id="dekl_potpis" value="{{$dekl_signature}}" />
</div>